Background

Esophageal impaction can result in airway obstruction, stricture, or perforation. Perforation can be due to multiple mechanisms but is generally either mechanical (e.g. ingested bones) or via chemical corrosion (e.g. button battery)[1]

Esophageal irritation can be perceived as foreign body (globus sensation)

Once the object has traversed the pylorus, it usually passes without issue

Coin at the level of the cricopharyngeus muscle (C6)in a child (Lodged esophageal foreign bodies can cause esophageal necrosis and lead to perforation)

Airway compromise

Presence of foreign body for >24hr

Multiple magnets (can trap bowel)

Objects >6cm in length

Food Impaction

Uncomplicated food impaction (no bones, incomplete obstruction) can be managed expectantly but do not allow food bolus to remain impacted for >12-24hr. It is reasonable to consider therapies such as glucagon or a carbonated beverage